• Title/Summary/Keyword: 나사제거

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Removal torque of a two-piece zirconia abutment with a novel titanium component in an internal connection implant system after dynamic cyclic loading (새로운 타이타늄 구성요소를 사용한 내부연결 임플란트용 지르코니아 지대주의 동적하중 후 나사 제거력)

  • Lee, Joo-Hee
    • The Journal of Korean Academy of Prosthodontics
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    • v.55 no.2
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    • pp.151-155
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    • 2017
  • Purpose: The aim of this study was to evaluate screw removal torque of the two-piece zirconia abutment with the novel titanium component compared to the conventional one-piece titanium abutment in the internal connection implant before and after dynamic cyclic loading. Materials and methods: Two types of the abutment assemblies with internal connection were prepared and divided into the groups; titanium abutment-titanium abutment screw assemblies as control, and zirconia abutment-titanium socket-titanium abutment screw assemblies as experimental group. A total of 12 abutments and implants were used of six assemblies each group. Each assembly was tightened to 30 Ncm. A cyclic load of 300 N at an angle of 30 degrees in reference to the loading axis was applied until one million cycles or failure. The removal torque values (RTVs) of the abutment screws were measured with a digital torque gauge before and after cyclic loading. The RTVs of the pre load and post load were analyzed with t-test, and P-values < .05 were considered statistically significant. Results: The assemblies of both groups survived all after the dynamic cyclic loading test without screw loosening. The statistically significant differences were found between the mean RTVs before and after the cyclic loading in both groups (P < .05). The RTV differences for the control and the experimental group were $-7.25{\pm}1.50Ncm$ and $-7.33{\pm}0.93Ncm$, respectively. Statistical analysis revealed that the RTV differences in both groups were not significantly different from each other (P > .05). Conclusion: Within the limitation of this study, the two-piece zirconia abutment with the titanium component did not show a significant RTV difference of the abutment screw compared to the titanium abutment after dynamic cyclic loading.

Removal of fractured implant screws: case report (파절된 임플란트 나사의 제거: 증례보고)

  • Kim, Tae-Su;Lee, Jae-Hyun;Lee, Won-Sup;Lee, Su-Young
    • Journal of Dental Rehabilitation and Applied Science
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    • v.31 no.1
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    • pp.60-66
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    • 2015
  • Screw loosening and screw fracture of abutment is one of most frequent mechanical complications in implant restoration. Fractured fragments in implant restoration like abutment and screw should be completely removed and the procedure needs minimal damage to the fixture of implant. In some cases, it could fail to remove fractured fragments and cause a lot of damage to the fixture of implant. These situations could render implant unusable at the worst. This article describes three different situations and simple techniques for successful removal of fractured fragments without damage of implants. The procedures used are described in this clinical report.

Removal of a Femoral Interference Screw that Migrated Posteriorly after ACL Reconstruction, Using Posterior Trans-septal Portal - A Case Report - (전방 십자 인대 재건술 후 후방으로 전위된 대퇴 간섭 나사의 후방 경격막 도달법을 이용한 제거 - 증례 보고 -)

  • Ahn, Jin-Hwan;Lee, Sang-Hak;Ha, Hae-Chan
    • Journal of the Korean Arthroscopy Society
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    • v.10 no.2
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    • pp.187-191
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    • 2006
  • Few cases have been reported in which the femoral interference screw has migrated into the posterior compartment after an ACL reconstruction. It usually requires removal, because it leads usually to mechanical symptom. However, the arthroscopic removal of a screw is a technically demanding procedure, especially in the case of an intact integrated ACL graft or one that is encapsulated around the screw. We present a case in which a displaced femoral interference screw migrated within the posterior compartment 11 years postoperatively, after the graft had been successfully incorporated at the femoral site and showed good continuity on MRI and arthroscopic examination. Although it is often technically challenging, through the use of a posterior trans-septal portal, we can successfully remove a displaced femoral interference screw even in the most difficult locations in the posterior compartment without damage to ACL graft.

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The effect of a titanium socket with a zirconia abutment on screw loosening after thermocycling in an internally connected implant: a preliminary study (내부연결 임플란트용 타이타늄 소켓을 이용한 지르코니아 지대주에서 열순환이 나사풀림에 미치는 영향: 예비연구)

  • Kyung, Kyu-Young;Cha, Hyun-Suk;Lee, Joo-Hee
    • Journal of Dental Rehabilitation and Applied Science
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    • v.33 no.2
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    • pp.114-118
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    • 2017
  • Purpose: The aim of this study was to investigate the effects of a titanium component for the zirconia abutment in the internal connection implant system on screw loosening under thermocycling conditions. Materials and Methods: Internal connection titanium abutments and external connection zirconia abutments with titanium sockets were connected respectively to screw-shaped internal connection type titanium implants with 30 Ncm tightening. These implant-screw-abutment assemblies were divided into two groups of five specimens each; titanium abutments as control and zirconia abutments with titanium sockets as experimental group. The specimens were subjected to 2,000 thermocycles in water baths at $5^{\circ}C$ and $55^{\circ}C$, with 60 seconds of immersion at each temperature. The removal torque values (RTVs) of the abutment screws of the specimen were measured before and after thermocycling. RTVs pre- and post-thermocycling were investigated in statistics. Results: There was not screw loosening identified by tactile and visual inspection in any of the specimens during or after thermocycling. The mean RTV difference for the control group and the experimental group were $-1.34{\pm}2.53Ncm$ and $-1.26{\pm}2.06Ncm$, respectively. Statistical analysis using an independent t-test revealed that no significant differences were found in the mean RTV difference of the groups (P > 0.05). Conclusion: Within the limitations of this in vitro study, the titanium socket for the zirconia abutment did not show a significant effect on screw loosening under thermal stress compared to the titanium abutment in the internal connection implant.

Pretibial Ganglion after Anterior Cruciate Ligament Reconstruction with Bioabsorbable Interference Screw fixation $(Bioscrew^{\circledR})$ - A Case Report - (생분해성 간섭나사를 이용한 전방 십자 인대 재건술 후 발생한 결절종 - 증례보고 -)

  • Song, Eun-Kyoo;Shim, Sang-Don;Kim, Myung-Sun
    • Journal of the Korean Arthroscopy Society
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    • v.6 no.2
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    • pp.188-191
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    • 2002
  • The complication caused by a bioabsorbable interference screw composed of Poly-L-Lactic-Acid is rare after anterior cruciate ligament (ACL) reconstruction. We reported a case of a pretibial ganglion at the orifice of the tibial tunnel where the graft tendon had been fixed with a bioabsorbable interference screw $(Bioscrew^{\circledR})$ for ACL reconstruction using autogenous hamstring tendon. The patient was underwent ganglion excision and interference screw removal.

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Tunable SIW Using Dielectric Screw for Eliminating the Phase Imbalance of Large Size Substrate Integrated Power Distribution Network (대 면적 기판 집적 PDN의 위상차 문제를 제거하기 위한 유전체 나사를 이용한 가변 기판 집적 도파관)

  • Byun, Jin-Do;Lee, Hai-Young
    • The Journal of Korean Institute of Electromagnetic Engineering and Science
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    • v.21 no.2
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    • pp.110-120
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    • 2010
  • In this paper, we propose a tunable SIW(Substrate Integrated Waveguide) using dielectric screws for eliminating the phase imbalance of large size power distribution networks(PDN). Alumina screws partially inserted into several through holes of the tunable SIW section effectively change the phase shift without S-parameter degradation. ${\pm}33.9^{\circ}$ measured phase imbalance of a large conventional 9 GHz SIW-PDN of $370\;mm{\times}195\;mm$ size has been greatly reduced to ${\pm}4.65^{\circ}$. We expect that the proposed tunable SIW plays an important role for a light-weight, high performance substrate integrated phased array system(Si-PAS) and large size SIW circuit applications.

Burnishing effect on marginal misfit of implant-supported screw-and-cement retained prostheses: A case report (임플란트 지지 나사-시멘트 유지형 보철물에서 보철물-지대주 제거 후 변연부 연마의 효과: 증례보고)

  • Kim, Mijoo;Lee, Du-Hyeong
    • The Journal of Korean Academy of Prosthodontics
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    • v.58 no.3
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    • pp.239-243
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    • 2020
  • When the marginal fit of fixed dental prosthesis decreases, biological and technical complications, such as plaque accumulation, periodontal disease, hypersensitivity, components fracture, cement loss, can happen. The complications affect the long-term success and survival of prostheses. This case report describes a clinical procedure to minimize the marginal gap of implant-supported screw-and-cement retained prosthesis by removing prosthesis-abutment complex and burnishing the interface area. The marginal gap was measured before and after the burnishing using a stereomicroscope and compared. This technique improves the marginal fit, thereby contributing the longevity of the prosthesis.

Early loading on a maxillary posterior single implant with deepened threads: a case report (깊은 나사선을 갖는 임플란트를 이용한 상악 구치부 조기 하중: 증례보고)

  • Han, Chang-Hoon;Kim, Hyun-Seung;Park, Sang-Won;Yun, Kwi-Dug;Joo, Han-Sung;Lim, Hyun-Pil
    • Journal of Dental Rehabilitation and Applied Science
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    • v.30 no.3
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    • pp.253-258
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    • 2014
  • This case report shows an early loading at the maxillary posterior area with the wide diameter implant which has a deepened threads after removal of failed implant. Implant Stability Quotient (ISQ) value has represented favorable result for one year. This clinical report describes the potential of early loading on a maxillary posterior single implant with deepened threads.

A Case of New Surgical Correction of Angular Limb Deformities Using One Screw Implant & Periosteal Transection in a Thoroughbred Foal (Thoroughbred 망아지에서 단일나사못 장착 및 골막박리를 이용한 지세교정술)

  • Yang, Jae-Hyuk;Lim, Yoon-Kyu
    • Journal of Veterinary Clinics
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    • v.29 no.2
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    • pp.177-180
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    • 2012
  • Angular limb deformities (ALD) are common in foals. A 30-days-old Thoroughbred foal was presented for the evaluation of severe ALD of the both forelimbs. On radiographic examination, both distal radiuses were diagnosed as valgus angular limb deformities. But the degree of deviation of right forelimb was so severe that we tried to correct one after the other. We tried new surgical correction method combination of one screw implant on medial aspect for growth retardation and periosteal transection on lateral aspect of the right forelimb. 40 days later, successfully corrected and then removed the screw. After the right forelimb correction, the periosteal transection on left forelimb was performed. We did the inhalation anesthesia using isoflurane. There were no complications such as fibrosis over the screw heads, and overcorrection that produces an opposing deformity identified. These results suggest that combination of one screw implant and periosteal transection technique is able to be a safe and effective method to correct severe ALD in the foal.

Arthroscopic Reduction of Subluxed Medial Meniscus using Suture Anchor for Restoration of Hoop Stress - Technical Note - (버팀테응력 회복을 위한 아탈구된 내측 반월상 연골의 Suture anchor를 이용한 정복술 - 술기 보고 -)

  • Kim, Jaw-Hwa;Lee, Yoon-Seok;Kim, Chul;Han, Seung-Chul
    • Journal of the Korean Arthroscopy Society
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    • v.13 no.3
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    • pp.280-284
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    • 2009
  • Purpose: The authors introduce a new technique of arthroscopic reduction of subluxed medial meniscus using suture anchor for the restoration of hoop stress. Operative Technique: Anterolateral, anteromedial, and medial midpatellar arthroscopic portal are used. Arthroscope was inserted through anterolateral portal. Through the scope, we confirmed subluxation of medial meniscus. Transection of menisci including radial and root tear were excluded. We released the anterior horn of medial meniscus through anteromedial and burred the future insertion site of suture anchor. After inserting suture anchor through medial midpatellar portal, we used 90 degree suture hook and no.2 Nylon to retrieve the suture of inserted anchor. We tied the suture by sliding knot-tying method. Weight bearing was limited for 6 weeks postoperatively. Conclusion: Arthroscopic retightening of medial meniscus is less invasive, conserving and progressed method for subluxed meniscus.

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